0001209191-21-037836.txt : 20210603 0001209191-21-037836.hdr.sgml : 20210603 20210603174551 ACCESSION NUMBER: 0001209191-21-037836 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210601 FILED AS OF DATE: 20210603 DATE AS OF CHANGE: 20210603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON KEITH CENTRAL INDEX KEY: 0001059226 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39515 FILM NUMBER: 21993843 MAIL ADDRESS: STREET 1: AMERICAN WELL CORPORATION STREET 2: 75 STATE STREET, 26TH FLOOR CITY: BOSTON STATE: MA ZIP: 02109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: American Well Corp CENTRAL INDEX KEY: 0001393584 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 BUSINESS PHONE: 617-205-3500 MAIL ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-01 0 0001393584 American Well Corp AMWL 0001059226 ANDERSON KEITH C/O AMERICAN WELL CORPORATION 75 STATE STREET, 26TH FLOOR BOSTON MA 02109 0 1 0 0 Chief Financial Officer Class A Common Stock 2021-06-01 4 S 0 18095 12.6514 D 1036543 D Class A Common Stock 741875 I By Keith W. Anderson 2020 Irrevocable Family Trust The sale reported in this Form 4 was effected pursuant to the terms of a Rule 10b5-1 trading plan adopted by the reporting person on December 31, 2020, as amended, and was made in order to pay the tax liability arising from the vesting and settlement of restricted stock units on June 1, 2021. /s/ Bradford Gay as attorney-in-fact for Keith Anderson 2021-06-03